Term
Warfarin Dose shud be decreased w/ RXs |
|
Definition
[AASS] -Amiodarone -Azoles -Statins -Septra |
|
|
Term
Warfarin monitoring = q _____wks |
|
Definition
q 12 wks (recheck in 5 days w/ dose changes)
(metab influenced by VKORC1,Cyp2C9,3A4 genetics) |
|
|
Term
Warfarin + ASA indicated in |
|
Definition
-S/P ACS -Mechanical Hrt Valve (inc bleeding risk) |
|
|
Term
Warfarin alone better than aspirin alone for |
|
Definition
|
|
Term
Vegetarians have inc intake of |
|
Definition
Vitamin K----a clotting factor |
|
|
Term
|
Definition
INR less than 2 INR 2-2.5 (strt next day)
{Xarelto strt when INR<3} |
|
|
Term
|
Definition
|
|
Term
|
Definition
when next LMWH dose is due |
|
|
Term
DOAC to WARFARIN WHEN????
DOAC to LMWH WHEN???? |
|
Definition
DOAC to WARFARIN WHEN???? DOAC taken simultaneous till INR range reached (bridging)
DOAC to LMWH WHEN???? when nxt dose of DOAC due |
|
|
Term
Low risk bleeding
HIGH RISK BLEEDING |
|
Definition
Hold DOAC 24 hrs prior w/ LOW
_HOLD DOAC 48 hrs prior w/HIGH |
|
|
Term
These Risks are Cath ablation/electro study Endoscopy w/biopsy prostate/bladder biopsy Angiography Pacemaker/ICD implant(unless CHD) |
|
Definition
|
|
Term
These Risks are Complex left sided ablation spinal/epidural anasthesia thoracic,ab,or major orthoped surgery Liver/Kidney biopsy |
|
Definition
|
|
Term
Signs and symptoms of bleed HCT= Platelet= |
|
Definition
HCT= <30% Platelet=<100,000 or 50% below baseline New back,flank, groin pain Melena,etc |
|
|
Term
|
Definition
CBC Pt/INR and PTT, Weight/Height |
|
|
Term
HEPARIN ongoing monitor CBC q anti Xa |
|
Definition
CBC check= q 1 to 3 days
anti Xa= 6 to 8 hrs after bolus and initial infusion/dose change til therapeutic(once daily therafter) |
|
|
Term
LMWH be careful with _____dosing |
|
Definition
Renal (Enoxaparin<30ml/min reduce dose) |
|
|
Term
|
Definition
CBC Pt/INR and PTT, Weight/Height Basic metabol panel |
|
|
Term
LMWH ongoing monitor CBC q anti Xa |
|
Definition
CBC= 1st 14 days (q 1-2 days in pt.2-7 days out pt)
Bone density in tx >3mnths (AntiXa=indicated pops) |
|
|
Term
DO NOT USE THIS LMWH IN CrCl <30mL/min |
|
Definition
|
|
Term
|
Definition
Quinidine, procainamide -Na+ blockers |
|
|
Term
|
Definition
Lidocaine, Mexiletine -Na+ blockers -Slows conduction Velocity/inc recov period |
|
|
Term
|
Definition
Flecanaide, Propafenone -Na+ blockers -SLow conduc velocity/inc recov period |
|
|
Term
|
Definition
Metoprolol, Atenolol -Beta Blockers |
|
|
Term
|
Definition
Dofetilide, Amiodarone,Dronedarone, Sotalol, Ibutilide -K+ Blockers [prolongs refrac period/delays repolarization] |
|
|
Term
|
Definition
Verapamil, DILTIAZEM -CCBs [prolong repolztn at AV node,dec cond velocity] |
|
|
Term
|
Definition
Digoxin, Mg2+, Adenosine -Miscellaneous |
|
|
Term
Lidocaine (Xylocaine) Indication |
|
Definition
|
|
Term
|
Definition
K & Mg Serumlidocaine (2-6ug/ml) |
|
|
Term
Flecanaide (Tambacor) Indication |
|
Definition
|
|
Term
|
Definition
ECG K & Mg SCr Serum rx conc (0.2-1mcg/mL) |
|
|
Term
Amiodarone (CORDARONE) Indication |
|
Definition
|
|
Term
|
Definition
|
|
Term
SOTALOL (Betapace) Indication |
|
Definition
|
|
Term
|
Definition
|
|
Term
Dofetilide (Tikosyn) indication |
|
Definition
AF [monitor ECG,Renal func, K&Mg] |
|
|
Term
Dronedarone (Multaq) indication/monitr\ [Take w/ food] |
|
Definition
Paroxysmal AF
Monitor---ECG,LFTs, MG & K+ |
|
|
Term
Diltiazem (Cardizem) &Verapamil (CALAN) indication/monitr |
|
Definition
|
|
Term
|
Definition
AF
Monitor ECG,K&Mg,renal func trough Digoxin levels 0.5-2ng/mL |
|
|
Term
|
Definition
|
|